Enhancing Clinical Efficiency through LLM: Discharge Note Generation for Cardiac Patients

Medical documentation, including discharge notes, is crucial for ensuring patient care quality, continuity, and effective medical communication. However, the manual creation of these documents is not only time-consuming but also prone to inconsistencies and potential errors. The automation of this documentation process using artificial intelligence (AI) represents a promising area of innovation in healthcare. This study directly addresses the inefficiencies and inaccuracies in creating discharge notes manually, particularly for cardiac patients, by employing AI techniques, specifically large language model (LLM). Utilizing a substantial dataset from a cardiology center, encompassing wide-ranging medical records and physician assessments, our research evaluates the capability of LLM to enhance the documentation process. Among the various models assessed, Mistral-7B distinguished itself by accurately generating discharge notes that significantly improve both documentation efficiency and the continuity of care for patients. These notes underwent rigorous qualitative evaluation by medical expert, receiving high marks for their clinical relevance, completeness, readability, and contribution to informed decision-making and care planning. Coupled with quantitative analyses, these results confirm Mistral-7B's efficacy in distilling complex medical information into concise, coherent summaries. Overall, our findings illuminate the considerable promise of specialized LLM, such as Mistral-7B, in refining healthcare documentation workflows and advancing patient care. This study lays the groundwork for further integrating advanced AI technologies in healthcare, demonstrating their potential to revolutionize patient documentation and support better care outcomes.

Pragmatic Competence Evaluation of Large Language Models for Korean

The current evaluation of Large Language Models (LLMs) predominantly relies on benchmarks focusing on their embedded knowledge by testing through multiple-choice questions (MCQs), a format inherently suited for automated evaluation. Our study extends this evaluation to explore LLMs' pragmatic competence--a facet previously underexamined before the advent of sophisticated LLMs, specifically in the context of Korean. We employ two distinct evaluation setups: the conventional MCQ format, adapted for automatic evaluation, and Open-Ended Questions (OEQs), assessed by human experts, to examine LLMs' narrative response capabilities without predefined options. Our findings reveal that GPT-4 excels, scoring 81.11 and 85.69 in the MCQ and OEQ setups, respectively, with HyperCLOVA X, an LLM optimized for Korean, closely following, especially in the OEQ setup, demonstrating a score of 81.56 with a marginal difference of 4.13 points compared to GPT-4. Furthermore, while few-shot learning strategies generally enhance LLM performance, Chain-of-Thought (CoT) prompting introduces a bias toward literal interpretations, hindering accurate pragmatic inference. Considering the growing expectation for LLMs to understand and produce language that aligns with human communicative norms, our findings emphasize the importance for advancing LLMs' abilities to grasp and convey sophisticated meanings beyond mere literal interpretations.

German Phoneme Recognition with Text-to-Phoneme Data Augmentation

In this study, we experimented to examine the effect of adding the most frequent n phoneme bigrams to the basic vocabulary on the German phoneme recognition model using the text-to-phoneme data augmentation strategy. As a result, compared to the baseline model, the vowel30 model and the const20 model showed an increased BLEU score of more than 1 point, and the total30 model showed a significant decrease in the BLEU score of more than 20 points, showing that the phoneme bigrams could have a positive or negative effect on the model performance. In addition, we identified the types of errors that the models repeatedly showed through error analysis.